overview hansen’s disease
DESCRIPTION
Overview Hansen’s Disease. Hansen’s Disease Community Program. What is Hansen’s Disease?. Bacterial infection: Mycobacterium Leprae Skin and Peripheral Nerves Complications: Loss of Sensation, Secondary Infections, Loss of Motor Function, Eye Damage. Hansen’s Disease Bacilli. - PowerPoint PPT PresentationTRANSCRIPT
OverviewOverview Hansen’sHansen’s Disease Disease
Hansen’s Disease Community Hansen’s Disease Community ProgramProgram
What is Hansen’s Disease?
Bacterial infection: Mycobacterium Leprae Skin and Peripheral Nerves Complications: Loss of Sensation,
Secondary Infections, Loss of Motor Function, Eye Damage
Hansen’s Disease Bacilli
How is Hansen’s disease transmitted?
95% of the population has NATURAL IMMUNITY against M. Leprae
Depends on the degree of contact, type of Hansen’s disease, contact’s immunity, and index’s time without medication.
Prolonged daily exposure to untreated HD is the highest risk. (Household)
Route of Transmission: Nasal membranes of multibacillary patient, Cutaneous (rare) open HD lesions.
How is Hansen’s Disease treated?
Multi-drug therapyDapsoneRifampinClofazimineOther antibioticsMedications are free to patientsLength of Treatment varies: 6-24 monthsNo need for isolation or institutionalization
What are the signs and symptoms of Hansen’s disease?
Reddish or pale/hypopigmented skin lesions which usually do not itch and may be insensitive or anesthetic.
Nodular infiltration and thickening of the skin, especially on the face, earlobes, arms, and legs.
Tender, enlarged nerves, usually in an arm or leg, and sometimes on the lateral neck.
What are the signs and symptoms? (contd.) Paresthesia (tingling) and/or numbness of
the fingers or toes, or late sign weakness of arms, hands, legs, or feet
Painful lesions (if undiagnosed person is already into reactional state)
Tuberculoid LesionTuberculoid Lesion
Tuberculoid Lesion of the Tuberculoid Lesion of the ArmArm
Borderline TuberculoidBorderline Tuberculoid
Borderline TuberculoidBorderline Tuberculoid
Borderline BorderlineBorderline Borderline
Borderline LepromatousBorderline Lepromatous
LepromatousLepromatous
Type 1 ReactionType 1 Reaction
Type 2 Reactions/ENLType 2 Reactions/ENL
Hand Complications of HDHand Complications of HD
Foot Complications of HDFoot Complications of HD
If you note any symptoms on new students: Symptoms mentioned Lived in high endemic area Worsening rash despite other treatments Changes in sensation or peripheral nerve symptoms not
due to any other cause Known to be in close contact with a case before
treatment started PROVIDER CONSIDER 4 MM PUNCH BIOPSY AND
CALL HDCP
Thank you for your interest in Thank you for your interest in Hansen’s disease.Hansen’s disease.
Please call us atPlease call us at (808) 733-9831 (808) 733-9831
for more information or if you have for more information or if you have any questions or possible referralsany questions or possible referrals